| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
563 |
509 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
241 |
232 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
150 |
149 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
119 |
118 |
$12K |
| 97802 |
|
301 |
301 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
62 |
62 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
31 |
31 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
177 |
176 |
$2K |
| 90461 |
|
88 |
88 |
$2K |
| 86318 |
|
51 |
41 |
$677.28 |
| 36415 |
Collection of venous blood by venipuncture |
98 |
96 |
$208.74 |
| 81002 |
|
15 |
14 |
$40.65 |
| 90744 |
|
21 |
21 |
$0.00 |
| 90715 |
|
22 |
22 |
$0.00 |
| 90710 |
|
16 |
16 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |